NPI age
19 years
Enumerated 2006-06-13
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 098163102 | |
| 01 (TX) | 098163103 | MEDICAID OTHER |
Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.
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